ATI LPN
Fundamentals of Nursing Care: Concepts, Connections & Skills
Chapter 35 : Researching and Preparing Medications Questions
Question 1 of 5
You are preparing to administer a Schedule II drug. What special considerations are necessary?
Correct Answer: A,C,D
Rationale: Schedule II drugs have a high potential for abuse and are tightly controlled, requiring secure storage (double lock or limited access), counting of remaining medications, and ensuring the count matches the record book. Schedule III drugs have a lower potential for abuse than Schedule II, making choice B incorrect. Computerized cabinets typically automate counts, so E is not universally required.
Question 2 of 5
When you administer an antihypertensive medication at a dose within normal ranges, the patient's blood pressure drops to 84/60. This is a/an:
Correct Answer: B
Rationale: A drop in blood pressure to 84/60 is an adverse effect, as it is an unintended and potentially harmful response to the medication. Side effects are typically less severe, while allergic and anaphylactic reactions involve immune responses.
Question 3 of 5
A patient tells you that he is allergic to a muscle relaxer because it makes him sleep all day. You know that this is a common side effect of this medication. What action will you take?
Correct Answer: B,C
Rationale: The patient should be educated that excessive sleepiness is a side effect, not an allergy. However, it should still be documented in the chart with an explanation to clarify the reaction for future reference.
Question 4 of 5
A patient is taking a medication to lower cholesterol. You know that the patient needs more teaching about the medication when he says:
Correct Answer: A,B
Rationale: Grapefruit can interact with many cholesterol-lowering medications (e.g., statins), affecting their metabolism and increasing side effects. The medication is for cholesterol, not blood pressure, indicating a misunderstanding.
Choices C and D are correct behaviors.
Question 5 of 5
A patient on birth control pills tells you that she is also taking St. John's wort as an herbal supplement for mild depression. Which response will you make?
Correct Answer: B
Rationale: St. John's wort induces liver enzymes, increasing the metabolism of estrogen and reducing the effectiveness of birth control pills.
Choice C is incorrect as it does not increase estrogen side effects.
Choices A and D are not specific enough.